title: Urgent cesarean delivery and prolonged ventilatory support in a parturient with Fontan circulation and undiagnosed pseudocholinesterase deficiency.
abstract: A parturient with Fontan circulation required general anesthesia for urgent cesarean delivery and subsequent prolonged postoperative ventilation for newly-diagnosed pseudocholinesterase deficiency. Anesthetic management necessitated a thorough understanding of the hemodynamic principles of the Fontan circulation and physiologic adaptations during surgical delivery and recovery in the intensive care unit.
authors.affiliation: Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: K J
authors.initials: KJ
authors.lastname: Grim
authors.forename: K W
authors.initials: KW
authors.lastname: Arendt
authors.forename: A K
authors.initials: AK
authors.lastname: Jacob
authors.forename: C H
authors.initials: CH
authors.lastname: Rose
authors.forename: M T
authors.initials: MT
authors.lastname: Keegan
mesh_terms: D000328:Adult; D002091:Butyrylcholinesterase / Q000172:deficiency*; D002585:Cesarean Section; D005260:Female; D018729:Fontan Procedure; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D012121:Respiration, Artificial; D018785:Tricuspid Atresia / Q000503:physiopathology* / Q000601:surgery
chemical_list: D002091:Butyrylcholinesterase